GRACE CARE MEDICAL LLC
NPI 1932918554
Nurse Practitioner - Family in Indianapolis, IN
About Grace Care Medical Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GRACE CARE MEDICAL LLC (NPI 1932918554) is a healthcare organization registered as a family in Indianapolis, Indiana and active in the NPI registry since January 2025. The organization lists Daniel Gebresilassie, Sole Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Grace Care Medical Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Grace Care Medical LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Grace Care Medical LLC's NPI number?
The NPI number for Grace Care Medical LLC is 1932918554. It was assigned to this organization in the NPPES registry on January 7, 2025.
Where is Grace Care Medical LLC located?
Grace Care Medical LLC is located at 801 Shelby St, Indianapolis, IN 46203. The listed phone number is (463) 999-4054.
What is Grace Care Medical LLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Grace Care Medical LLC enrolled in Medicare?
Yes. Grace Care Medical LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Grace Care Medical LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Grace Care Medical LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Grace Care Medical LLC was last updated on January 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Grace Care Medical Llc · NPI 1932918554
Family organization in Indianapolis, Indiana. Organization record, active in the CMS NPPES registry since January 7, 2025.
## Identity
- **NPI:** 1932918554 (Entity type: Organization)
- **Enumerated:** January 7, 2025
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **Organization subpart:** No
- **Authorized official:** Daniel Gebresilassie, SOLE OWNER
## Practice location
- **Address:** 801 SHELBY ST, Indianapolis, IN 46203-1163
- **Phone:** (463) 999-4054
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 7, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1932918554) · Data from the CMS NPPES public registry.